Individual provider Active NPI

Brenda T. Hayes, LCSW

  • Clinical Social Worker
  • Stephens City, VA
National Provider Identifier
1033223342
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008074 Issued in VA
Practice address
217 Wakeland Dr
Stephens City, VA 22655-2332
Phone
(914) 584-7915
Fax
(845) 350-4036
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R024612-1 NY
Clinical Social Worker 1041C0700X 0904008074 VA Primary

Addresses

Primary practice location

217 Wakeland Dr
Stephens City, VA 22655-2332

Mailing address

217 Wakeland Dr
Stephens City, VA 22655-2332
Phone (914) 584-7915

Other identifiers 4

IdentifierTypeStateIssuer
7389OtherNYBCD
R024612-1OtherNYLCSW LICENSE
027052OtherNYVALUE OPTIONS
0904008074OtherVAVIRGINIA LICENSE

Other names 1

  • Brenda L. Hayes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001030 VA Practitioner - Clinical Social Worker 0547358210 Practice locations: Stephens City, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

217 Wakeland Dr
Stephens City, VA 22655-2332
Phone (914) 584-7915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
R024612-1NYMDClinical Social Worker
024612NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1033223342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WAKELAND DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552332",
            "telephone_number": "914-584-7915",
            "fax_number": "845-350-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WAKELAND DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552332",
            "telephone_number": "914-584-7915",
            "fax_number": "845-350-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BRENDA",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024612-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCD",
            "identifier": "7389",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "R024612-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "027052",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0904008074",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "HAYES",
            "middle_name": "L.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stephens City, VA

Sources for this page

Verify at the official NPI Registry.